Machine-readable files (MRF)
Hospital Price Transparency Rule
Transparency compliance
Industry analysis

-- min read

Turquoise Health publishes first price transparency impact report, confirms 65% of hospitals have posted negotiated rates

Nearly 5,000 hospitals have posted rates along with 80 carriers representing the majority of covered lives in the US.

October 18, 2022
Turquoise Health publishes first price transparency impact report, confirms 65% of hospitals have posted negotiated rates

Authors

Lizzie Whitsel
Senior Manager, Brand & Content

To download the Impact Report, click here.

SAN DIEGO, CA, (October 18, 2022) — Turquoise Health published its first Price Transparency Impact Report today. The report, free to download on their website, outlines the healthcare industry’s progress to date on price transparency compliance and provides a roadmap for achieving industry-wide adoption.

“We expect the initial phase of price transparency adoption to take five years,” says Turquoise Health Co-Founder and CEO, Chris Severn. The clock started in January of 2021 when the first of three different rules and laws that dictate price transparency went into effect. “After seven quarters of transparency, progress is evident. 65% of hospitals have published robust negotiated rates. Additionally, 80 carriers have also published rates, representing the majority of covered lives in the United States,” says Severn.


The report delves deep into price transparency regulation, the necessary innovation already happening thanks to third-party organizations, and the various government actions needed for price transparency to fully integrate into the healthcare industry. Among the statistics mentioned, Turquoise cites 76% of hospitals have posted a machine-readable file (MRF), 65% have posted an MRF with negotiated rates, and 63% have posted an MRF with cash rates. Major health systems such as the Mayo Clinic, Advocate Aurora Health, and Prime Healthcare, have posted 5-star MRFs, the highest possible score, according to the Turquoise Health Price Transparency Scorecard. On the payer data side, eighty carriers have published rates. This includes BlueCross BlueShield, United, Cigna, Aetna, and Humana.

Related resources

Learn, listen, and watch the latest on price transparency.

Transparency in Coverage Final Rule (2026): What Changes for Payer Machine-Readable Files
Transparency in Coverage (TiC)
10/6/26

Transparency in Coverage Final Rule (2026): What Changes for Payer Machine-Readable Files

Payers will report by network instead of plan, move from monthly to quarterly, and attest to their data. We expect files to be slimmed down, more organized, and easier to find online.

All
Prescription Drugs Rates Get A Mandated Due Date with Dec 2027 Enforcement
Prescription Drug Machine-Readable File
10/5/26

Prescription Drugs Rates Get A Mandated Due Date with Dec 2027 Enforcement

What this means for manufacturers ability to provide patients a personalized OOP cost for drugs

Life Sciences
Transparency in Coverage Update Trims Down Payer MRFs & Brings Back the Rx File
Transparency in Coverage (TiC)
10/5/26

Transparency in Coverage Update Trims Down Payer MRFs & Brings Back the Rx File

CMS's first major TiC overhaul since 2022 simplifies payer files and sets a December 2027 enforcement date for the prescription drug file. Here's what it means for patients and the industry

All
https://turquoise.health/resources/blog/turquoise-health-publishes-first-price-transparency-impact-report-confirms-65-of-hospitals-have-posted-negotiated-rates